Information Collection

Poisoning Report And Poison Control Information Record

IC 109362 under ICR 197709-0910-004 · OMB 0910-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0023 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

POISONING REPORT AND POISON CONTROL INFORMATION RECORD

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FD-2294				No	No
Form	FD-2294C				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 525

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	160,300	-40,000	200,300
Annual IC Time Burden (Hours)	4,050	-29,333	33,383
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.